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February 21, 2026CureusOpen Access

O-to-H Flap Reconstruction of a Central Forehead Defect Following Basosquamous Carcinoma Excision: A Case Report and Literature Review

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Authors

SKSofia KriliVPVasileios PsarrasDKDimitra Koumoundourou

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Overview

Case report details effective reconstruction of forehead defect in an elderly male, suggesting viable techniques for BSC management.

Key Points

  • To report on the use of an O-to-H flap for reconstructing a central forehead defect after excision of basosquamous carcinoma.
  • Patient underwent wide surgical excision of the ulcerative lesion under local anesthesia.
  • An O-to-H flap was designed to reconstruct the resulting defect.
  • Horizontal incisions were made parallel to skin tension lines with Burrow’s triangles excised.
  • Closure was completed with 5-0 nylon sutures after ensuring meticulous hemostasis.
  • The patient showed excellent functional and aesthetic outcomes at four-month follow-up.
  • The scar healed well with preserved sensory function.
  • No evidence of local recurrence was found after surgery.

Cite This Study

Krili et al. (2026) studied this question.

synapsesocial.com/papers/69994ba9873532290d01fd88https://doi.org/10.7759/cureus.103814
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